Organization Active NPI

Geryn Home Health Care Agency, Inc.

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1063445740
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012796 Issued in TX
Legal business name
GERYN HOME HEALTH CARE AGENCY, INC.
Practice address
12000 Westheimer Rd Ste 215
Houston, TX 77077-6697
Phone
(818) 800-0144
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edvard Gevorgyan
Title
Ceo
Phone
(281) 800-1109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 012796 TX Primary

Addresses

Primary practice location

12000 Westheimer Rd Ste 215
Houston, TX 77077-6697

Mailing address

12000 Westheimer Rd Ste 215
Houston, TX 77077-6697
Phone (818) 800-0144

Other identifiers 1

IdentifierTypeStateIssuer
024161401MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gerynhome@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040620000005 TX Part A Provider - Home Health Agency 2163407651 Practice locations: Houston, TX

Home health agency certification: CCN 458496

Legal name
GERYN HOME HEALTH CARE AGENCY, INC
Doing business as
GERYN HOME HEALTH CARE AGENCY, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 21, 1995
Last certification
Mar 13, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 12, 1995 in TX
Enrollment address
12000 Westheimer Rd
Ste 215
Houston, TX 77077-6697

Care Compare: Home health agency

Medicare Care Compare
Listed as
Geryn Home Health Care IncCCN 458496
Ownership
Proprietary
Certified
Aug 21, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1825 Market Center Blvd
Ste 300
Dallas, TX 75207
Phone (972) 228-4960

12000 Westheimer Rd
Ste 215
Houston, TX 77077
Phone (281) 800-1109

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Edvard Gevorgyan Individual 5% Or Greater Direct Ownership Interest May 6, 2022 50%
Corporate Officer May 6, 2022 100%
Corporate Director May 6, 2022 100%
W-2 Managing Employee May 6, 2022 100%
Syed Raza Rizvi Individual 5% Or Greater Direct Ownership Interest May 6, 2022 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1063445740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 WESTHEIMER RD STE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776697",
            "telephone_number": "818-800-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 WESTHEIMER RD STE 215",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776697",
            "telephone_number": "818-800-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERYN HOME HEALTH CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "EDVARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-800-1109"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024161401",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gerynhome@gmail.com",
            "affiliation": "N",
            "address_1": "12000 Westheimer Rd Ste 215",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770776697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.